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General NPI Number Information
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NPI Number | 1750780557
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Entity Type | Organization
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Legal Business Name | HEALING HEARTS COUNSELING LLC
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 08/18/2014
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Provider Practice Location Address
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Address Line | 207 CENTER ST E STE C
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City | EATONVILLE
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State | WA
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Zip | 98328
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Country | US
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Telephone | 253-370-3629
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Fax |
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Provider Business Mailing Address
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Address Line | 50214 MT HWY E
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City | EATONVILLE
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State | WA
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Zip | 98328
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Country | US
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Telephone | 253-370-3629
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | REBECCA ANN ATKINS
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Credential | LMHCA
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Telephone | 253-370-3629
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MC60487007
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License Number State | WA
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